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1831583780
LUCAS ANKENBRUCK
ROANOKE, IN
NPI
1831583780
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-03-27
Last Update Date
2017-05-16
Business Address
-- LUCAS ANKENBRUCK
7373 E LAKEWOOD DR-92
ROANOKE, IN 46783-9236
Phone number: 260-446-1759
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Mailing Address
-- LUCAS ANKENBRUCK
7373 EAST LAKEWOOD DRIVE-92
ROANOKE, IN 46783
Phone number: 260-446-1759
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